Central vocal cord paralysis and paresis presenting as laryngeal stridor in children.
Vocal cord paralysis or paresis as the initial presenting symptom for intracranial tumors in children are rare. Recently, two pediatric patients who were later diagnosed as having intracranial tumors presented with the symptom of voice changes and stridor. Telescopic examination revealed bilateral vocal cord paresis and paralysis as demonstrated by video recordings. The majority of pediatric brain tumors present with both generalized and localized complaints; however, by discussing these two rare cases, we hope to underscore the importance of a thorough workup of the paralyzed or paretic vocal cords.
Ross
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DA
Division of Head and Neck Surgery (Otolaryngology), UCLA School of Medicine 90024-1624.
Ward
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PH
D001932:Brain Neoplasms / Q000150:complications / Q000175:diagnosis*; D001933:Brain Stem; D002675:Child, Preschool; D003388:Cranial Fossa, Posterior; D005260:Female; D005910:Glioma / Q000150:complications / Q000175:diagnosis*; D006646:Histiocytosis, Langerhans-Cell / Q000150:complications / Q000175:diagnosis; D006801:Humans; D007823:Laryngeal Nerves / Q000503:physiopathology; D007828:Laryngoscopy / Q000379:methods*; D008526:Medulla Oblongata; D012135:Respiratory Sounds / Q000209:etiology*; D012399:Rotation; D014743:Videotape Recording; D014826:Vocal Cord Paralysis / Q000175:diagnosis* / Q000209:etiology